| NPI | 1578048195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61268077) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU61003619) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-01-31 |